隔物灸治疗寒湿凝滞型原发性痛经的随机对照临床研究

目的:观察隔物灸治疗寒湿凝滞型原发性痛经的临床疗效。方法:采用随机对照方法将209例患者分为两组。治疗组105例,采用隔物灸神阙、关元穴治疗;对照组104例,口服月月舒冲剂治疗。观察两组治疗前后痛经各项症状指标变化,并对疗效进行评价。结果:治疗组总体疗效明显优于对照组(P<0.01);治疗组轻、中、重不同痛经程度患者疗效均明显优于对照组(均P<0.01)。两组治疗后及随访第3个月痛经症状积分较治疗前均明显降低(均P<0.01),治疗组优于对照组(P<0.01)。两组第3疗程腹痛开始减轻时间较第1疗程均有明显缩短(P<0.01),两组间各相应疗程腹痛开始减轻时间比较,差异均有统计学意义(均P<0.01)。结论:隔物灸治疗寒湿凝滞型原发性痛经疗效显著,优于口服月月舒冲剂。

Randomized Controlled Clinical Study on Ginger-partitioned Moxibustion for Patients with Cold-damp Stagnation Type Primary Dysmenorrhea

Obiective To observe the effect of ginger-partitioned moxibustion in the treatment of patients with primary dysmenorrhea(PD)of cold-damp stagnation type.Methods A total of 209 PD patients were randomized into moxibustion group (n=105)and control group(medication group,n=104).Patients of the former group were treated with ginger-partitioned moxibustion at Shenque(CV 8)and Guanyuan(CV 4),once daily for 3 days in the first menstrual cycle,and 3 days before menstruation and once daily for 6 days in the 2nd and 3rd menstrual cycles,and those of control group were asked to take Yueyueshu Granules(a Chinese herbal patent drug for relieving PD).Clinical symptom scores were assessed before and after the treatment.Results After the treatment,of the 105 and 104 cases in the moxibustion and control groups,the cured,markedly effective,effective and failed cases were 58(55 24%)and 32(30.77%),37(35.24%)and 33(31.73%),5(4 76%)and 24(23.08%),and 5(4 76%)and 15(14.42%),respectively.The total therapeutic effect of moxibustion group was significantly better than that of control group(P＜0.01).The effects of moxibustion for relieving mild,moderate and severe dysmenorrhea were evidently superior to those of medication(P＜0.01).The symptom scores after the treatment and 3 months of post-treatment in moxibustion group were significantly lower than those of control group(P＜0.01).Conclusion Ginger-partitioned moxibustion therapy was effective for PD of cold-damp stagnation type